REVERE DENTISTRY AND BRACES LLC
NPI: 1154849198
· REVERE, MA 02151
· 1223G0001X
$698K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,311 |
$44K |
| 2019 |
948 |
$34K |
| 2020 |
1,311 |
$26K |
| 2021 |
2,415 |
$84K |
| 2022 |
3,338 |
$173K |
| 2023 |
3,061 |
$178K |
| 2024 |
2,548 |
$161K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
|
606 |
569 |
$156K |
| D1110 |
|
2,951 |
2,704 |
$153K |
| D0120 |
|
2,675 |
2,438 |
$62K |
| D0274 |
|
1,600 |
1,469 |
$55K |
| D0150 |
|
1,207 |
1,091 |
$51K |
| D1120 |
|
982 |
922 |
$48K |
| D1206 |
|
1,785 |
1,677 |
$45K |
| D2740 |
|
53 |
42 |
$34K |
| D0210 |
|
430 |
369 |
$27K |
| D2392 |
|
291 |
176 |
$22K |
| D0140 |
|
446 |
411 |
$16K |
| D2391 |
|
192 |
124 |
$12K |
| D0220 |
|
466 |
428 |
$7K |
| D8660 |
|
101 |
100 |
$5K |
| D0272 |
|
107 |
77 |
$2K |
| D8690 |
|
12 |
12 |
$1K |
| D0330 |
|
19 |
18 |
$1K |
| D0230 |
|
51 |
30 |
$520.00 |
| D9310 |
|
15 |
14 |
$403.00 |
| D1999 |
|
798 |
637 |
$0.00 |
| D0603 |
|
91 |
89 |
$0.00 |
| D1330 |
|
54 |
51 |
$0.00 |